eFMLA, Inc.

Our Commitment to Your Privacy

eFMLA, Inc. is committed to protecting your health information. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with notice of our legal duties and privacy practices concerning your PHI.

How We May Use and Disclose Your PHI

Treatment

We may use or disclose your PHI to facilitate treatment or services by us or by other healthcare providers. This includes coordination or management of your healthcare with a third party.

Payment

We may use or disclose your PHI to obtain payment for services we provide to you. This includes activities such as billing, claims management, and collection activities.

Healthcare Operations

We may use or disclose your PHI for our healthcare operations, which include internal administration and planning. This includes quality assessment and improvement activities, reviewing competence or qualifications of healthcare professionals, and conducting training programs.

Required by Law

We may use or disclose your PHI when required by federal, state, or local law. This includes reporting to public health authorities, law enforcement, and for judicial and administrative proceedings.

Health and Safety

We may use or disclose your PHI when necessary to prevent a serious threat to your health and safety or the health and safety of others.

Your Rights Regarding Your PHI

You have the following rights regarding health information we maintain about you:

• Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI that is maintained in a designated record set for as long as we maintain the information.
• Right to Request Amendment: You may request an amendment of your PHI if you believe information we have is incorrect or incomplete.
• Right to an Accounting of Disclosures: You have the right to request an accounting of disclosures of your PHI made by us during the six years prior to your request.
• Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about your health information in a certain way or at a certain location.
• Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice upon request, even if you agreed to receive this notice electronically.

Uses Requiring Your Authorization

We will obtain your written authorization before using or disclosing your PHI for purposes other than those described above (or as otherwise permitted or required by law). You may revoke any authorization at any time, in writing, except to the extent we have already taken action in reliance on your authorization.

Changes to This Notice

We reserve the right to change this notice and to make the revised notice effective for PHI we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website and at our place of business. The notice will contain the effective date on the first page.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact our Privacy Officer using the information below. You will not be penalized or retaliated against for filing a complaint.

Acknowledgment

You may be asked to sign an acknowledgment that you have received this Notice of Privacy Practices. This acknowledgment does not constitute authorization for us to use or disclose your PHI. Our goal is simply to ensure that you have been notified of your rights and our obligations.